HomeMy WebLinkAbout0.-18-15 -,>
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FAMILY SETTLEMENT AGREEMENT -LORETTA M. URANI
ESTATE -�, '
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THIS AGREEMENT by and between the following persons ��� - `'`
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j.0���A
LINDA MARIA URANI McCRACKEN
individually and LORI KAlvIA, Executor of the Estate of LORETTA M. URANI, Deceased,
of Cumberland County, Pennsylvania.
WHEREAS, LORETTA M. URANI, who resided at 1 i00 Grandon Way, Suite 514,
Mechanicsburg, PA 17050 ; Cumberland County, died on June 12, 2013 having left a Last
Will and Testament; and
WHEREAS, LORI KAIVIA has been duly appointed as Executor of the Estate of
LORETTA M. URANI, Deceased; and
WHEREAS, the Parties in interest under the Pennsylvania Laws of Intestacy of
LORETTA M. URANI, Deceased;are:
LORI URANI KANIA
LINDA MARIA URANI McCRACKEN
WHEREAS, each of the parties to this Agreement has been furnished with a complete listing
of the estate assets, receipts and disbursements as set forth on the Estate Inventory as attached
hereto and marked as Exhibit"A"; and the Informal Accounting as attached hereto and marked
as E�ibit"B"; and
WHEREAS, it is the desire of the parties to this Agreement that fmal distribution of this estate
be accomplished without a formal accounting to the Court of Common Pleas of Dauphin
County, Pennsylvania, Orphans' Court Division, it being the desire of the parties to avoid the
expense, delay and publicity of a formal accounting; and
WHEREAS, the parties to this Agreement each acknowledge and agree to the proposed
Schedule of Distribution as shown in Section 5. of the attached Informal Accounting ; and
NOW,THEREFORE,WITNESSETH, in consideration of the mutual promises, covenants
and agreements recited herein the parties do agree as follows:
1. Each of the parties to this Agreement does hereby release and forever discharge LORI
KANIA, Executor, from any and all liability which may from time to time arise in connection
with his service as Executor of the Estate of LORETTA M.URANI, Deceased. The parties
do further agree to indemnify and hold harmless said LORI KAlvIA, Executor, from any and
all liability which may arise against the estate from creditors or other claimants.
�
2. Each party to this Agreement acknowledges that this Agreement shall be indexed and
recorded in the estate proceedings and that the terms hereof shall be binding upon their
respective heirs, successors, Executors, and assigns.
3. This Agreement can be executed in counterparts.
4. This Agreement shall be governed by the laws of the Commonwealth of Pennsylvania.
Dated at , Pennsylvania this ����da of
Y
�a n�s��, 2ols.
�,�' ��
�RI KANIA,Executor
NOTARIZATION:
On this°��:�lay of����, 2015,before me personally appeared the aforesaid declarant and
principal,to me known to be the person described in and who executed the foregoing instrument
and acknowledged that he/she executed the same as his/her free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal in the
County of Cumberland, Commonwealth of Pennsylvania the day and year first above written.
. �3 i��6���-1 ..... ........
otary Public
COlUIMOiVWrl�i:i�i i(ar�'ENiVSYLVANIA
IVOTARIAL SEAL
ERiN N.DUSKEY,Notary Public
Hampden Twp.,Cumberland Counry
My Commission Expires January 28,2018
LINDA MARIA URANI McCRACKEN
NOTARIZATION:
On this..........day of.........., 2015,before me personally appeared the aforesaid declarant and
principal,to me known to be the person described in and who executed the foregoing instrument
and ackno�edged that he/she executed the same as his/her free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal in the
County of , State of the day and year first above written.
...............................................................................
Notary Public
/�`� G� ���t9
-�
LORI URANI KANIA
NOTARIZATION:
On this..........day of.........., 2015,before me personally appeared the aforesaid declarant and
principal,to me known to be the person described in and who executed the foregoing instrument
and acknowledged that he/she executed the same as his/her free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal in the
County of Cumberland, Commonwealth of Pennsylvania the day and year first above written.
�
'" Notary Public N�A
COMl�FiQi�VJtHL°�i-9 Ur o''"t1�faV '
NOTARIAL SEA!
���N{�.DUSKEY,Notary Pubfic
Hampd?n?WP•>�umberland County
pJly Comm�ssion Expires January�2�*� $,2�
�1��.'l�t�u�-�.�,Ph.�-�.��,.�
T,IN�DA MARIA UIZf1NI McCRA�CK.EN
NOTARIZATION:
On this..........day of.........., 2015,before me personally appea�-ed the aforesaid declarant and
principal, to me knoti��n to be the person described in and who executed the foregoing instrument
and acknowledged that he/she executed the sa�ne as his/her free act and deed.
IN WITNESS ���HEREOF, I have hereunto set my hand and affixed my otficial seal in the
County of , State ol' tl�e day and year first above written.
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........,l�,,.Q�..:..�����.... ... ... .. .L�.G�-- GN-�-�G�-�i�c-'������-�Y`�-t�t."
Notary Public `
�� �f�.2-� ,����.�s
LORI URANI ICAI'�fIrl
� N(?TARI�ATION:
On this�..�..�.day of'::��.�`�., 2015,before me personally appeared the aforesaid declarant and
principal, to me known to be the person described in and�vho executed the foregoing instrument
and acknowledged that he/she executed the same as his/her free act and deed.
IN WITNESS WHEREOF, I have hereunto set my lland and affxed my ofFieial seal in the
Counry of Cumberland, Commonwealth of P�nnsylvania the day and year first aUove written.
�,.�----_
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... ��,���'l':%.-........ .......... .... .
........ ... ....
— otary Public �
�QN�Mt7�11N�AL+N 0�-��iU�vSYLVANlA
NOTARIAL SEA�
Ef?IN N.�USKEY,Not�ry Public
Hampden i'wp.,Cumberiand Caunty
My Cbmmission Expir�s January 2g,��Zg
CALIFORNIA ALL-PURPOSE
� CERTIFICATE OF ACKNOWLEDGMENT �
(CALIFORNIA CIVIL CODE § 1189)
A notary public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA ).�
COUNTY OF ����NC�� „ �
�1�� �x��J, N2�i�t� C�(��.--i L
On 1� IY1 ��_kt_:����1`"� _before me, y 1�f� � `�
(Date) (Here Insert Name and Title of the Officer)
personally appeared �--i��a a'����A ���-' � ��G V�`C�-� �
who proved to me on the basis of satisfactory evidence to be the persor�j-whose name,�s3�/are
subscribed to the within instrument and acknowledged to me that 11e���Y executed the same
in b.i-�%b.eir authorized capacity�}, and that by-�h `�/tla�e+r signature,�.s}-on the instrument
the person�), or the entity upon behalf of which the persor�acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct. KnREN�. �AwsoN
Commission #2054000
Z;.-d Notary Public-California i
z �•`' � Orange County '
WITNESS my hand and official seal. � My Comm. Ex ires Jan 2,2o�e
�'ture of Not y lic (Notary Seal)
ADDITIONAL OPTIONAI INFORMATION — ti
Description of Attached Docume,nt . �.,,�L..��
��.�{a I��(J�iz�:1 i �.
Title or Type of Document: �,�� '�` � _ ocument Date:
Number of Pages; �—'" Signer(s) Other Than Named Above: �—
;
Additiona� Information:
revision date Ol/Ol/2015
EXHIBIT "A"
���������
REG1Si"�R �:= Y�33�.�5 OF Cll�d1�3EF:LA�ID CC3U�ITY, P�N�SYLVANIA
tiGMM1��d'ti�;E,�LTH OF PE'.�t�lSYLVA�dI:, } �� �
cotiNTv oF Cumberland � �?ie Numper 2'1 -13 -OQ761
Lori Kania
Persor;ai Representatr✓ei;s;e`Y�e�st�r o; Uf��tl, LOCette� �+�.
_..______-�___._. _..._.... ...�. _ . .._._ .. _.._
c�eceasec,aep�se(s)wru say(s)?hat ihe items appeariny in;he fcl�a�ving inventc,r�inciude aii of the,�eronal assets�aherever situaie
and all of the real esiate in tn�Common�v�eai"th of Pennsylvania or said Decedent,tha[ihe vaivatior;placed o�posite each it2m or s«ia
inve:tory represents iis�air val��e�s oi[he date o�t�e dec�dent's dcati,,and that Decedeni ovmed no re3i�staie outsiGe ot the
Commonwealth or Pennsyivania 2xcept that v✓hich appears in�memorancicim at the end of this inventcry.
' . 1 .
ar�,.re true ar:d correc�. '. unrle��tanu�n chis inven- ������,,�
I veri;y that?he statements n�aae
{ a � ' :hat fulse state- � —�.= . __� ____._._____..__..-. --_ .____... ....--- ..—
ments herein are made suo�ec#to the penalTies�f �-flr1 Kanta
15 PaC.S.§�90�4 relaiing to unsrvorn faisificaticn:o
a�thorities. �� � �� ������ � � �
Attorney-- jNar,el Michae{ C Giorcfano {su/�rBRi2 COUI�i.D.i��o.? 204699
---__ —_____`._________.........__�_._._.---..............__.__..... _._---.---
{�..m1 Michaei C, Giordano, AtCorney �Counseior at Lavd
(auaress) 221 W. Main Streef
N[echanicsburg> PA 1705�
(;elenr.onei 7171?d5-4160
n;-r�o-oe.��,�i �,sr�es:cer�scE ��00 Grandon Way, Ste. 5'14
o::;�o_�ar�s�c s�c tie.
6!'1212013 Mechanicsburg, PA 17050 179-28-3927
FiGURES MUST BE TOTALED
Personal Prc�perty
First Commonwealth Bank Account# ...9182 593.64
Automobiie Dodge Neon 2003 (paar condition) 600,Q0
Hausehold Furnishings (yard sale proceeds) 325.04
Total Personal Property '�,�'1$.s�
Real Estate
Praperty ;acated at 445 S. Liberty Street, Biairsville, PA 37,500.00
Tota! Rea! Estate 37,500.00
;?,ttach addiiional sh�eis ir`necessar�) Total Personal Property and Real �state $39,018.fi4
EXHIBIT "B"
!n the Court of Common Pieas ofi Cumberland County, Per�nsylvania
Orphans' Court Division
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REPORT AND 1�1FORMAL ACCOUNT 1N SETTLEMENT 4F ESTAT�
Estate of LORETTA M. URANI, Deceased. File No. 2013-00761
-----------------------------------------------------------------------------------------__
The undersigned, authorized by this court to act as the Executor of the above entitled estate, reports
and accounts as follows:
1. There has come into my possession the fallowing personal property of tl�e deceased, which has been
converted into cash the amounts indicated o� Scnedules E and F attached.
3otal value af personal property and cash; ��i9,589.5�
2. There has come into my possession the following real property of the deceased, which has been
converted inta cash in the amount indicated:
445 South Liberty Streef Blairsvilie PA 15717 � 37,500.00
Total value of real prapertv' $ 37,50U.00
Total value of personal propertv, cash and real propertv: $ 57,089.54
3. All of this real and personal properi:y has been converted to cash and disbursed or distributed as
indicated an Schedules H and l attached.
Total value of cash disbursed or to be disbursed far expenses: $ 37,241.21
4. Inheritance Tax: The Inheritance Tax owed on the Estate is $893.17 as shown on the Inheritance Tax
form to be filed with the Cumbertand County Register of Wills with this Informal Accounting and the Family
Settlement Agreement.
5. Schedufe of Distribu#ion: The net value of the estate less Inheritance taxes wiil be distributed to the
following persons (one-half each) as follows:
LORI URANI KANIA
UNDA MARIA URANI McCRACKEN
4 _��_
E�tor: Lori Kania
COMMONW�ALTH OF PENNSYLVANIA )
) ss.:
GOUNTY OF �UMBERLAND }
Lari Kania, as Executar of the Estate ot Loretta M. Urani, being duiy swom, deposes and says:
! have read the foregoing Report and �ccount and knaw the contents thereof; the matters and things therein
staied are true af my own knowledge; the foregoing Aecount is in all respects just and true and contains a
f�li, particular and true accaunt of all money and property of the deceased coming into my �ossession; and
the administration expenses, disbursements and distributian shown have been ac#ually made for the
nurposes and reasons therein stated.
. ����
Ex cUtar and Affiant:
Lori Kania
2v1�
Sworn to before me on ��.r����.-, �� ���
� ,�_.._.
--�`.�'��� ��1.G_�fi
Notary Pub i ��
COMMONWEAL,,,,i ht C}F P�tvi�JSYI.VANIA
NOl'ARfALSEA�
ERIN N.DUSK�Y,�!otary Public
HampdenTir�p..Gumbcrland Coun#y
My Commission Expires,i:nuary 28,2t3t8
�.Ff: pennsyEvania � SCHEDUI.E E �
� �
' p'c?,�RTbic'N70fREVENU£ �ASH, BAN6�C �EPC}SI7S AND N11SC
iNNERITANCET?,XRE?iJRN .. p c
RESIDENTDELE�EN7 ��R�Q�A� �1'�fl�G��Y
—`__�—' �
___...... _-.—.__....__....._.._�___..—_._ —_._.._.
'FILE NUMBER
ESTATE QF Urani, LOfB#t� M. �21 - 13-00761
�rc!ude the proceeds of 6tigation and the date the prcCeeds were received by the estate.Ail pr�per�y jointly-owned with the right of
survivorsh�p rnust be disclosed on schedule F.
ITEA� ,, � VALUC AT QATE OF
�dUh�98ER DES�RIPTICN DEATH
_ _____._._.__.______._�_._v........�.___�.._.__.___—_......____.._...---...__....----.._---.-----•- �.�._...—_�._..�.___.�.---��._._
1 Firsi Commonwealth �ank Account#...9182 . 593.64
2 Automobi;e Dodge Neon 2003 (paor condiiion) 600.04
3 Household Furnishings (yarG sale proceedsj 325.00
TOTAL 4Also enter on Line 5, Recapitulation) 1,51$.64
REV�1509 EX+i01•1Q�
-�-.�.ti� pennsy{vania � SCHELIUL� F �
�y,'�' OEPARTMENT 4f REVENU_ I '
�""�� ' JOiNTLY-OWt��D PR4PERTY '
INHERITFNCE TAY RE7liRN �
RESICcNT DECEDENT I
_..__. ............ " '_'� '
.._.....� .—._�..._.., _ ...... ............_._...�.�_._____......__......_... _�__._...
CSTATE Of ,FlL.E NllMSER
Urani, Laretta ��1. I 21 - 13-00701
!f an asset was made joint within ane year of the decedent's date ofi�eath,i#must be reported on schedu{e G.
` SURVIVWG JOINT TENAUT(S)NAIb1E ADDRESS RELn I IONSHIP TO DECEGENT
_._.__....�—.�___�____�___....................._...��.�..____—v.._...___._....._
�ori Urani Kcnia �^~� 29 Lee Ann Ct. Caugh;e�
� Enala, PA �7425
�.._...�_......__ ---...._...__ — _.__� —
Linda Maria Urani McCracken 1000 Reef Circle Daughter
� Placentia, CA 9287Q
J04N7LY OWNED PROPERTY: ___._._
_ _._ ._......... _ ❑E5C.RtPTi0�1_i�F PRO�ERTY 'y ? OF ! Oa,7E OF�EF7H
= LETI'ER � DATE �
i���; _ Ire.ude name ofi fir.aneial ms�tu wn an bank aeeaui�t nur ibef DATE OF DEr;TH ���p,S i v,a�ue oF
rdU1�iBER i��R JQINT I MADE or similar identi"rying number.Aitach deed ier joint�y-neid r2al VALUE aF ASSET'IN-ERESTi oe�eoer�rs ir.TER�sT
i 1"ENAUT � �QINT 'estate. '
1 � A, B� i 06/3011w92 S&T Savings Account ; � �d,��$.za ; 33.33%; 4,732.29
( i
2 � � 8 �0�I3011992 '� S&T Checking Acco�mt � 2,s�s.ao ; 33.33°�a; 873.05
I ' � I
i ' i i 1,165.29 i 33.33%, 38$.39
3 � r1, B �01/2fi/2002 i iv]arion Center Bank Account
4 i r1, B � 10/01i1987� PNC Stock--484 shares @ a71.335 per share ; 3a,526.14 � 33.33%; 11,507.56
i
� ; A. B � Centric Bank Accaunt �.'e8�� � 33.33% 569.61
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_.___ _._._ ..___�.�..____ .._��..__.___ _..____. _ --
TOTAL{Aiso enter on line 6,F2ecapiiulation} 18,{i70.90
REV•15'11 EX*('!0•08)
�.R: pennsylvania "' SCHEC)ULEH
�\�' DEPART�IENT OF REVENUE I �����7'-V ya,��J�V �
� 1TiNcRRAd7CE 7px RE`URN ' A rySA�Lqtt*TL'3ATn 1C�"+f1L^TC �
RESICENT�Ei=JENT � PiLf1Y�iYh71 fVl!I YG LVJ 1 J
_ ._��__...��._.....—__ ._._..v_..;_....__._.......___............._._.._._..
'FILE NUMBER
ESTATE OF Urani, Loretta M. 21 -13-00751
�....___._�..._ _ _.— �__--.....__.._.._..._�_.__.,.._�___.
DecedenYs debts must be reported an Schedule{.
____,� _____._.___.._.__......._____...._.__------- _______
�TEM � DESCRIPTION ' AMOL'NT
NUMBE�`.FUNERAL EXP�NSES: '
_.—____.__._
—_�..�_.._._.. .__.__..,..�._._.._�._�_�
�. 1 ': Skirpan Funeral Hame 6,993.00
2 i Lafaye#te Mamorial l�ark, ircludin� Name piate and D.G.D. plate ' 3,221.50
3 � Gary's Floral 535,00
4 " Pastor Nonorarium 3Q.00
5 '' Olive Garden- Fun�ral Luncheon!Reoast 224.57
B. ;ADMINISTRATIVE C05T&: j
�. i Persanal Representative's Ccmmiss:ons �
� Name of Personal RepresentaCwe(s) f
� Lori Kania � 2,958.23
I
I Street,�ddress 29 L2e�nn Ct,
� City Enolo State PA Zip 1 i 025
�
j Year(s)Commission Paid 2014
2. i Attomeys=ees Michael C. Giordanc 900.00
3. Famiiy Exemption: {if decedenYs address is not the same as claimanYs,attach explanation)
� Claimant (
� �
5treei Address I
i City 5tate Lip �
�
Relationst�ip of Claimant to Decedent
a. 3 Frobate Fees Climberland Caunty Fees including Lztters,6 short certificates, filing ', 263.5G
�
�
g. � Accountant's Fees
6. � Tax Retum Prepare�s-ees i
i
7, i Other Administrative Gosts ;
s ; Publication of Estate in Cumberland Law Joumal ; ?5.00
;
�
i
See attached ? 16,464.9Q
; _.._...._ ---
-------__.�......_...._..�.._.. -
TO7AL(Aiso enter on line 9,Recapitulation) 31,665.70
�
, , Schecfule H
`� �'� ' Funetal Ex�a�3ns�s&
; ;
COM."aONWEAITli OF PE�dNSYI'•fA�liA ! q,� .},.,�,�,,�{, �
INHERITANCE?AX Rc7URN ►iL7(��(�.�f���tJ t�.V11up�
RESICeNi DEGEGEV7
---..^.�.-----"' -- _
,.__...__.__...._._.._.........__...__......_..._ _....._._...._._.........__�_—�._.�._.____.�. . _.�_ . ..�.�
�STATE OF Urani, Loretta M. =FILE NL�NiBER
�21 - 13-CQ?61
�___.__....__._�---.----- — _____..__.__._----�_..___..__._.__.
� ' Publicatinn of E�#ate in Patriot Nev��s � 123.38
G
�o Perelec�lec`tric Utili�y for decedent's residence 2�����
i
�� Blairsville Municipal�uthoriry-Waterisewer/trash for decedenk's residence f 303.16
I
�� People's Naturai Gas for decedent's residence � ��`���:�
�
is i American Moderr Select Insurance Co. (properry insurance on decedent's residence); 747.00
�d Capitaf self stor�ge(for decedent's pers�n�! property perdine disiribution or donation)'; 1;976.08
15 � Lawn care and sno�v removai fram decedent's residence a00.00
16 ' Vi'tai records-cepies of death certificates 27.00
�
E
» � Property'taxes -school and county—`or decedent's residence (2013/2014) 2,207.8'
1$ � Bank fees on Estate accaunt ��.�0
1� Cumberland Valley Matcrs-- Expenses to decedent's auto in anticipation of sale 716.06
2o ! Cleaning Suppiies to c3ean decedent's house $g•�$
21 I Rick Neese--hauling and cleanout services 600.00
�
2z Stationary supplies and postage 166.00
?3 Net settlemen"t charges for sale of decedent's residence inciuding seller assistance to F 6,462.44
, buyer and adjustments i
2� ' Transportation costs fer executor to administer estate property � 508.32
� ,
�
=5 ! Faulkner podge far decedent's auto � 482.97
�
z6 '; Allstate Insurance for decedent's home and auto 311.26
2? ' Title fiee�nd vehicle registration for decsdent's auto �2•��
;
�
Page 2 of Schedule H
�
Schedu�H �
i �'� ' ' �ur�:ral E�ns�.�s& �
COMtAON`+YEAITH OF PcNFJSYIV?,N:A I p�a,.,,, 4..,.�,,,,,�+,�,�.�,., ��,,,,7 I
16lHERIT,4�ai:c.T:JC RETt3RN � /�yW�I��ISUCi�iY�G trlAL:'1�I�litR7
RESIGENT DECEDENT '
_ ---......_.._._._.......___�.__�_.._....
— i�t�� Nume��
�STATE O� Urani, (.ore#ta M. i 21 - 13-�C761
?E ; Hamp ont Inn for persona! representative while admiris�ering estate pro�erty i 300_22
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Page 3 of Schedule H
�-�s penr�s�+lvani� + S�H�DU1�E i �
�-�.�.
� CEPaRTttENTGFREVEP�UE
� ` DEBTS OF �ECEDENT, MORTGA�E �
;NHERITANLE T:.X RETJRN �
riE51DENTOcCEDEti? LIASILITIES & LiENS
---�-::::._M:_. _�-:_=---=----- __..... .__...
��_........._...._�--. —_�::�:-�:::_ ' _....
__..—_�.
�FILE NUMBER
ESTATE OF Urani, �oretta iVl. �21 - i3-G076?
�Eport debts ircurred by th�dec�cent pnar:o death that remained unpaid at the dat2 of death,including unreimbursed medical expenses.
!�EUI i��_____.—_� ---�v-DESCRIP-iON �T1— /�MOUNT�
NUMBER i
_�...._ �_�__..._.__._�_...._..._..___._�__..-------..__._.___.____�_._.____...._...__�.._...—
1 Nlillenium Pharmacy Systems 331.93
2 G�nesis Reh�b Services 210.00
3 �mnicare Pharmdc�;Services of Eastern PA 34.73
d Verizon bill 120.66
5 Joyce Plum�ing & Heating 180.00
6 Ve'terinarian Bills for decedent's pet 143.00
7 Milton Hersi�ey Medicai Center 150.00
8 Sarah Todd Msemori�l Home 1,474.98
9 Emeritus Rent June 2Q13--reimbursed to Lori 1,500.Od
10 Special E�rent Emergency Medical Services —ambulance �4���
11 Pet care--supplies 33.45
12 Central Medica( Equipment--hospital bed 21.76
13 Select(vledica!lBureau of Account Management 1,000.00
14 Per capita taxes indiana Cty 30.50
15 Discover Card ...7816 223.94
TOTAL{Also en#er on Line 10,Recapitulation) 5,575.51
" � SCHEDULEI '
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; DEBTS 4F �ECEDENT, MORTGAGE ;
COhiq{GIdK'E:ILTHOFPENNS'fL'10.N1F " LlAB1U71ES & LIENS
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R£SIDENT OECEGENT L'Q I�lI I�I U�'� �
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--:=.-__--��._.__.._...______.�----.__.__�—. �FILE NUMBER
�srA��oF Urani, Loretta M. (2� -�3-oG761
Re�ort debts ircurred by the decedent prior to death that remaine�J unpaid at the date oi d2Gth, inciuding unreimb�rsed medicai expenses.
---, ---.__—.___.__.....___..._........____..___�_
ITE;vi ; CESCRIPTION AMOUNT
NUUIBER ;
_.._..._.__.��.._.�__.�_._._----------- ______�.__.__............__.- ------__
16 ` West Shors EMS-BLS 64.56
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Page 2 of Schedule I